Effects of ultrasonic treatment on the efficacy of gentamicin against established pseudomonas aeruginosa biofilms

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The effect of simultaneous ultrasonic treatment on the efficacy of gentamicin against planktonic and established biofilm cells of Pseudomonas aeruginosa was investigated. Planktonic cells were treated with 6 or 12 μg ml−1 of gentamicin for 4 h with ultrasonic treatment at three levels of power density (0.2, 2 and 15 mW cm−2). Biofilm cells grown on stainless steel slides in a continuous flow reactor were treated with 30 μg ml−1 of gentamicin and ultrasound. Ultrasound itself at these power levels did not cause cell killing or lysis in planktonic and biofilm cultures. Concentrations of 6 and 12 mg ml−1 gentamicin led to 2.65- and 2.75-log reductions of the surviving fraction in planktonic cultures in the absence of ultrasound. The addition of ultrasound did not show further reduction compared with those without ultrasonication. Gentamicin (30 μg ml−1) caused variable killing in biofilms which ranged from 0.83- to 2.86-log reductions of the surviving fraction without ultrasonication. Gentamicin efficacy measured by the surviving fraction was improved by 0.28-, 1.12- and 0.58-log when coupled with 0.2, 2 and 15 mW cm−2 ultrasonic treatments, respectively. Experimental results indicated that ultrasound modestly improved the efficacy of gentamicin against established P. aeruginosa biofilms.